Active NPI
Joseph Nawlo, O.D.
- Optician
- New York, NY
National Provider Identifier
1841660107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- C009396
- Practice address
- 201A Dyckman St
New York, NY 10040-1068 - Phone
- (212) 304-0020
- Fax
- (212) 304-3852
- NPI assigned
- Sep 30, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | C009396 | NY | Primary |
Addresses
Primary practice location
201A Dyckman St
New York, NY 10040-1068
Mailing address
201A Dyckman St
New York, NY 10040-1068
Phone (212) 304-0020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C009396 | NY | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Star Optical Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Eyewear Supplier
- New York, NY
- NPI 1588034045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1841660107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201A DYCKMAN ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100401068",
"telephone_number": "212-304-0020",
"fax_number": "212-304-3852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201A DYCKMAN ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100401068",
"telephone_number": "212-304-0020",
"fax_number": "212-304-3852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAWLO",
"first_name": "JOSEPH",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-30",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NY",
"license": "C009396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.